37: Transgender and Nonbinary Drugs
- Page ID
- 90351
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)- 37.0: Introduction
- This page focuses on transgender and nonbinary health care, highlighting the significance of using preferred terminology and understanding individual client preferences. It addresses medications affecting sexual characteristics and outlines nursing responsibilities and client education. The overall message emphasizes the importance of personalized approaches to reproductive health for diverse gender identities.
- 37.1: Overview of Transgender and Nonbinary Health
- This page covers key concepts and clinical considerations of gender identity and gender dysphoria, defining terms like transgender, nonbinary, and cisgender. It explores the challenges gender nonconforming individuals face in healthcare, details gender dysphoria as a medical diagnosis that can cause significant emotional distress, and discusses intersex individuals and their care complexities. The page concludes with guidelines for hormonal therapy for transgender and nonbinary clients.
- 37.2: Feminizing Hormonal Therapy
- This page provides an overview of feminizing hormonal therapy for transgender and nonbinary individuals pursuing male-to-female (MTF) transition. It details the actions, indications, and adverse effects of various hormones, including estrogen, spironolactone, progestins, and GnRH analogs, while outlining nursing implications for monitoring and patient education.
- 37.3: Masculinizing Hormonal Therapy
- This page discusses the use of masculinizing hormonal drugs for FTM transgender and nonbinary therapy, focusing on characteristics, adverse effects, and nursing implications. It highlights the importance of provider assessment and monitoring for physical changes and complications. Key medications like testosterone enanthate and undecanoate are examined, noting their potential to elevate blood pressure and increase cardiovascular risks.
- 37.4: Chapter Summary
- This page explores terminology for transgender and nonbinary individuals, stressing the need for preferred terms. It provides resources for healthcare professionals, discusses hormonal treatments for transitioning individuals, and the interpretation of side effects as therapeutic effects. The chapter encourages nurses to confront biases and emphasizes compassionate, individualized care for this population.
- 37.5: Key Terms
- This page outlines important terms related to gender identity and expression, including cisgender, transgender, and gender dysphoria. It distinguishes between assigned sex at birth and gender identity, addressing concepts like gender fluidity and nonconformity. Specific conditions such as gynecomastia are mentioned, and the term transsexual is clarified. Together, these terms showcase the complexity of gender and the diverse experiences individuals may have regarding their identities.
- 37.6: Review Questions
- This page focuses on nursing considerations for clients undergoing gender transition, highlighting the assessment of personal attitudes, understanding hormonal therapies, evaluating medical conditions, and recognizing health screenings. It emphasizes the importance of client education on medication side effects and the need for ongoing health care support.